Up-Regulation of Hsa-miR-11181 in Glioblastoma Multiforme as A Regulator of AKT and TGFBR1 Signalling

Objective MicroRNAs (miRNAs) are short non-coding RNAs that play a role in post-transcriptional regulation of gene expression. Hsa-miR-11181 was originally introduced as a regulator of genes involved in some brain tumours. Due to the high expression of Hsa-miR-11181 in limited glioblastoma brain tumours, in this study we intend to assess the expressions of Hsa-miR-11181 and Has-miR11181-3p in brain tumour tissues and attribute new target genes to these miRNAs. Materials and Methods In this experimental study, total RNA from brain tissue samples was extracted for real-time quantitative polymerase chain reaction (RT-qPCR) analysis after cDNA synthesis. In order to confirm a direct interaction of Hsa-miR-11181 with two target genes, the 3ˊ UTR of AKT2 and transforming growth factor-beta receptor 1 (TGFBR1) were cloned separately for assessment by the dual luciferase assay. Results RT-qPCR analysis indicated that both Hsa-miR-11181-5p and Hsa-miR-11181-3p specifically up-regulated in higher grades of glioma tumours versus other brain tumour types. Consistently, lower expression levels of AKT2 and TGFBR1 were detected in higher grade gliomas compared to other types of brain tumours, which was inverse to the level of expression detected for the heparin-binding EGF-like growth factor (HBEGF) gene. The results of the dual luciferase assay supported a direct interaction of Hsa-miR-11181 with the 3ˊ UTR sequences of the AKT2 and TGFBR1 genes. Conclusion Overall, our data suggest that miR-1118 is a potential molecular biomarker for discrimination of glioma brain tumours from other brain tumour types.


Introduction
Primary brain tumours comprise a diverse group of malignancies that arise from various types of brain tissues. The most common brain tumours are gliomas that arise from glial cells (1). The incidence of some brain tumours have increased over time (2). Gliomas comprise various tumour types that are classified by the World Health Organization (WHO) into grades I to IV according to their invasive and proliferative behaviours (3). Glioblastoma multiforme (GBM, WHO grade IV) is the most invasive and the end-stage of most lowergrade gliomas (4). Although remote metastases to other organs is rarely reported, its high local recurrence rate and frequent central nervous system metastasis make GBM a formidable and most always fatal cancer (5). Despite treatment with chemotherapy and radiotherapy, the average survival is around 14 months (6). There are little known environmental factors in the aetiology of brain tumours; therefore, hereditary and genetic backgrounds are the focus of research (7). The failure of conventional treatments in GBM to achieve long-term survival has made it a suitable target for genetic research (8).
MicroRNAs (miRNAs) are endogenously expressed 18-25 nucleotide small non-coding RNA molecules that regulate gene expression via post-transcriptional modification (9). miRNAs play important roles in many cellular processes such as cell differentiation, survival, proliferation and metabolism (10). The dysregulation of certain miRNAs is associated with the formation of numerous types of human cancers (11,12), and are defined as oncomiRs. Some miRNAs are tumour suppressors, whereas others have a dual function that depends on the specific tissue, time and dose of expression (13).
Hsa-miR-11181 (TrkC-miR1) is transcribed from 14 th intron of the human TrkC gene. The precursor of Hsa-miR-11181 is processed into two partially complementary mature forms, located either at the 5´ or 3´ side of the stem Up-regulation of Hsa-miR-11181 in GBM loop. Hsa-miR-11181 has a positive regulatory role during neural differentiation of the NT2 cell line to neural-like cells. Hsa-miR-11181-5p (TrkC-miR1-5p) is relatively highly expressed in some brain-derived cell lines such as SKN-MC, A172, DAOY and 1321 (14). These cell lines originated from neuroblastoma, glioma, cerebellar medulloblastoma and brain astrocytoma tumour tissues, respectively (15).
In the present study, we evaluated the expression levels of Hsa-miR-11181-5p and Hsa-miR-11181-3p in different brain tumour samples. HBEGF and TGFBR1 genes encode growth factor and growth factor receptors, respectively, that have neuroprotective, antiinflammatory, proliferative and differentiation roles in neural and glial brain cells (16,17). Also, the AKT2 gene encodes an intermediate protein of the PI3K/ AKT signalling pathway that is necessary for synaptic plasticity and insulin-mediated glucose uptake in brain neurons and glial cells (18,19). Therefore, the expressions of HBEGF and AKT2, as target genes of Hsa-miR-11181-5p, and TGFΒR1, as the target gene of Hsa-miR-11181-3p, were measured in brain tumour samples such as GBM and high-grade meningioma (grade IV). In addition, we applied a dual luciferase assay to confirm the direct targeting of these genes by Hsa-miR-11181.

Ethical approval
All studies were carried out according to the latest revision of the Declaration of Helsinki (https://www.wma.net/policiespost/wma-declaration-of-helsinki-ethical-principles-formedical-research-involving-human-subjects) and approved by the Ethics Committee of Tarbiat Modares University, Tehran, Iran (IR.MODARES.REC.1397.275). The sample collection process was confirmed and permitted by the Iran University of Medical Sciences Research Ethics Committee (IR.IUMS.REC.1398.867).

Sample collection and RNA extraction
In this experimental study, brain tumour tissue samples were obtained from Imam, Rasoule Akram and Shariati Hospitals (Tehran, Iran). Fresh tissues were transported by liquid nitrogen and stored at -80˚C until use. Total RNA was extracted and purified from the tissue samples by TRIzol reagent according to the Invitrogen manufacturer's protocol. RNA quantity and quality were identified by spectrophotometry and agarose gel electrophoresis, respectively. DNase treatment was conducted using RNase-free DNAaseI (Takara) at 37˚C for 30 minutes followed by heat inactivation at 75˚C for 10 minutes.

cDNA synthesis and real-time quantitative polymerase chain reaction
For miRNA cDNA synthesis, briefly, RNA was incubated with polyA polymerase (Takara-2180A) and ATP for 30 minutes at 37˚C. Reverse transcription was performed on the polyadenylated product. The reverse transcription (SuperScript II RT, Invitrogen, USA) reaction was accomplished by using an anchored oligo-dT primer. Table 1 lists the names and sequences of the primers used in this study. RT-qPCR was conducted in an ABI Real-Time PCR system (Applied Biosystems, USA) to evaluate the expression levels of the miRNAs and their target genes under the following conditions for 40 cycles: step 1, 95˚C for 5 seconds; step 2, 60˚C for 20 seconds; and step 3, 72˚C for 34 seconds. RT-qPCR was performed according to the guidelines and performed in duplicate. Endogenous U48 small nucleolar RNA (SNORD48) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were used for data analyses of the miRNAs and target expressions as the reference genes, respectively. Data were normalized using the 2 -∆∆ct method.

Cell culture conditions
The HEK293T cells were cultured in DMEM-HG (Invitrogen, USA) that consisted of 10% fetal bovine serum (FBS, Gibco, USA), 100 U/ml penicillin and 100 µg/ml streptomycin. The cell lines were acquired from Pasteur Institute, Tehran, Iran.

Dual luciferase assay
Genomic DNA, as the template, was extracted from white blood cells of a healthy person by a standard procedure. The purified DNA was used for the amplification by PCR and cloning of the region that corresponded to Hsa-miR-11181. The human 3´ UTR sequences of the AKT2 and TGFΒR1 were amplified by PCR and cloned in a psiCHECK vector downstream of the luciferase gene for the dual luciferase assay analysis with a Promega kit. Since the 3ˊ UTR of TGFBR1 is too long, it was cloned as two parts, named TGFΒR1 3ˊ UTR part 1 and part 2. Hsa-miR-11181 and the scrambled control that contained the expression vector were used as constructed in our previous research. Sequencing of all vectors were performed for confirmation of the correct insert.

Transfection
A total of 1 µg of the pEGFP-C1 vector that included the Hsa-miR-11181 precursor and 1 µg of the 3' UTR constructs of interest in the psiCHECK vector were mixed with Lipofectamin 2000 (Invitrogen, USA) and used for transfection of the HEK293t cell lines. After 24 hours, we used GFP microscopy (Nikon eclipse Te2000-s) to verify the successful transfection.

Statistical analysis
Statistical analysis was carried out with GraphPad Prism 8.4.2 (GraphPad, San Diego, CA, USA). P values were evaluated by a two-sided t test and by using the repeated measures ANOVA test. P<0.05 indicated statistical significance.

Computational prediction of the Hsa-miR-11181 target genes
The MiRDB online tool was used to predict Hsa-miR-11181-5p target genes. This tool predicted approximately 209 potential targets. Then, the PANTHER and DAVID classification systems suggested the functional analyses of these predicted target genes. About 27% of the predicted targets were suggested to be involved in metabolic processes (GO: 0008152), 23% were involved in cellular processes (GO: 0009987), and the rest were involved in diverse processes that included response to stimuli, locomotion, the immune system, and biological adhesion. AKT2, which is involved in crucial cell signalling, was chosen for further analysis. Consistently, RNAhybrid software predicted multiple binding sites or miRNA recognition element (MREs) for Hsa-miR-11181-5p within the 3´ UTR sequence of the AKT2 gene. The 3´ UTR sequence of TGFΒR1 was predicted to be targeted by Hsa-miR-11181-3p and it contained multiple MREs (Fig.1).

Hsa-miR-11181-5p expression status in human brain tumours
The expression level of Hsa-miR-11181 was analysed in the following panel of 31 normal and brain tumour tissues: normal (n=1), Alzheimer's disease (AD) affected (n=2), GBMs (grade IV, n=11), low grade astrocytoma (grade II, n=2), meningioma (n=5), medulloblastoma (n=2), epidermoid cyst (n=1), schwannoma (n=1), neurofibroma (n=1) and brain tumours without pathological typing (n=5) (Fig.2). The normal brain tissue sample used in this study was obtained from an AD patient. RT-qPCR results indicated that Hsa-miR-11181-5p was highly expressed in the high-grade glioma tissues compared to normal brain tissue and other types of brain tumours (P≤0.01, Fig.2A-C). However, there was no significant difference Up-regulation of Hsa-miR-11181 in GBM between the non-glioma brain tumours and low-grade glioma tissue ( Fig.2A). Data indicated that the Hsa-miR-11181-5p expression level was exceptionally low in the low-grade astrocytoma samples, which was similar to the expression in meningioma samples, compared to the high-grade glioma (GBM) samples. Hsa-miR-11181-5p was moderately expressed in the medulloblastoma, schwannoma, neurofibroma and epidermoid samples ( Fig.2A). On the other hand, the data showed significant down-regulation of this miRNA in meningioma samples compared to the normal brain tissue sample ( Fig.2A-C).

HBEGF and AKT2 target gene expression status in brain tumours
TargetScan5 and RNA-hybrid software predicted several target genes for Hsa-miR-11181. In order to investigate the expression status of HBEGF and AKT2, as Hsa-miR-11181-5p target genes, RT-qPCR was applied for 16 normal and brain tumour samples, including 6 GBM and 5 high-grade meningioma (grade IV) samples. The results indicated that the AKT2 gene had significantly higher expression in the GBM samples compared to the normal brain sample (Fig.2D). This data was consistent with the high expression of Hsa-miR-11181-5p in GBM and low expression in the meningioma samples ( Fig.2A-C). The expression level of HBEGF in meningioma was less than the GBM samples, but the differences were not significant (Fig.2E). Figure  2F and G shows the expressions status of the AKT2 and HBEGF genes in individual samples.

Has-miR-11181-3p and TGFBR1 gene expression status in brain tumour samples
Has-miR-11181-3p and its predicted target gene (TGFΒR1) expression levels were measured in 14 normal brain and brain tumour tissues, including meningioma, glioma, schwannoma, and adenoma samples (Fig.3) and AD. The expression level of Hsa-miR-11181-3p in the tumour samples was normalized against a normal brain tissue sample expression level. In general, the relative expression level of Hsa-miR-11181-3p in glioma samples was higher than in the normal brain tissue sample (Fig.3A). This result suggested a negative correlation of expression between Hsa-miR-11181-3p and TGFΒR1 (Fig.3A, B).

Direct interaction of Hsa-miR-11181 with the 3′ UTR sequences of the AKT2 and TGFΒR1 transcripts
The dual luciferase reporter assay was performed to investigate direct interactions of Hsa-miR-11181-5p and Hsa-miR-11181-3p with the 3′ UTR sequences of the AKT2 and TGFΒR1 genes, respectively. Regarding the fusion of the 3′ UTR sequences of the target genes following the luciferase reporter transcript, overexpression of miRNA leads to downregulation of the reporter luciferase protein and a reduction in signal intensity. Therefore, this method can indicate direct interaction of the miRNA and the target transcript. In this case, when luciferase ORF was fused to the 3ˊ UTR sequences of AKT2 or TGFBR1 (part 2) in the related vector and co-transfected with the vector for overexpression of Hsa-miR-11181, we observed a significant decrease in luciferase activity (Fig.4).

Discussion
Up-regulation of Hsa-miR-11181-5p was previously reported in developing neural cells as well as in a few number of brain solid tumours, including GBM, compared to high-grade meningioma (grade IV) samples (14). Our present data also revealed an up-regulation of Hsa-miR-11181-5p in glioblastoma brain tissues. Most of the Hsa-miR-11181-5p potential target genes were predicted to be involved in metabolic and cellular processes. Hsa-miR-11181-5p may reprogram cellular metabolic processes that are needed for cancer progression via targeting metabolic genes.
Bioinformatics analysis predicted that TGFBR1, HBEGF and AKT2 are Hsa-miR-11181 target genes. Therefore, RT-qPCR results indicated that the AKT2 gene significantly down-regulated in the glioblastoma tumour samples in accordance with high expression levels of Hsa-miR-11181-5p in the glioblastoma tumours. Also, Hsa-miR-11181-5p expression was elevated in comparison to the normal brain sample. In meningioma samples, the expression of Hsa-miR-11181-5p was lower and AKT2 was higher than the normal control, which was the opposite of glioblastoma. Therefore, the differential expression of Hsa-miR-11181-5p between glioblastoma and meningioma samples was remarkable. Dual luciferase assay results supported the finding that AKT2 is targeted by Hsa-miR-11181-5p. The AKT protein family consists of highly homologous kinases, which are essential mediators of the PTEN/PI3K pathway, and are deregulated in many prevalent cancers in humans (20,21). It has been reported that the AKT1 protein and its mRNA levels are similar in glioma and normal control tissues. However, there is an increase in the protein and mRNA levels of AKT2 with the pathological grade of malignancy, whereas there is a decrease in AKT3 mRNA and protein expressions (22). Additionally, high AKT2 levels indicate a higher grade of meningioma and AKT2 may play an important role in the growth of meningiomas (23). The mentioned studies are in accordance with the high expression level of AKT2 in meningioma brain tumour samples compared to the normal brain tissue. Down-regulation of AKT2 in U87MG, T98G and TGB cells resulted in a reduced apoptosis rate (22), which confirmed the lower expression of AKT2 that we detected in high-grade glioblastoma (data not shown).
HBEGF is a confirmed target for Hsa-miR-11181-5p (14). However, RT-qPCR results indicated no significant transcript level changes in HBEGF in glioblastoma tumours compared to meningioma tissues. This might indicate that Hsa-miR-11181-5p affects HBEGF protein production via inhibition of translation (24,25). On the other hand, HBEGF is a member of the epidermal growth factor (EGF) family that which binds to the EGF receptor employing mitogenic activity for several types of cells. The results of recent studies indicate that HBEGF participates in neuronal survival and proliferation of glial/ stem cells (26). It has been suggested that HBEGF can be a substitute for foetal calf serum (FCS) in some neuron cell cultures (27). Glioblastoma brain tumours originate from glial cells (22). Interestingly, our results indicated that GBM samples have higher levels of HBEGF compared to meningioma samples. Although there is no negative correlation between HBEGF and Hsa-miR-11181-5p expression in brain tumours, our results agree with the tumorigenic function of HBEGF in glioblastoma brain tumours.
It has been reported that the Hsa-miR-11181-3p (TrkC-miR1-3p) expression level does not significantly change during the NT2 cell neural differentiation. The results of research show up-regulation of Hsa-miR-11181-3p in glioma brain tumor samples, in comparison to meningioma (14). RT-qPCR results indicated up-regulation of Hsa-miR-11181-3p in glioblastoma brain tumours compared to both the meningioma samples and the normal brain tissue sample. This finding shows that Hsa-miR-11181-3p has a probable oncogenic role in glioblastoma. RT-qPCR results showed that TGFΒR1, as the Hsa-miR-11181-3p predicted target gene, was significantly down-regulated in glioblastoma samples compared to meningioma tumour samples.
Dual luciferase assay results supported a direct interaction of Hsa-miR-11181-3p with TGFΒR1, which suggests that this gene is a actual target for Hsa-miR-11181-3p. In normal cells, TGFB acts as a tumour suppressor by inhibiting cell growth, stimulating cellular differentiation, and/or inducing apoptosis in a contextdependent manner. The current findings suggest that a constitutive decrease in TGFΒR1 signalling is a strong modifier of cancer susceptibility and progression (28). Here, we have shown that TGFΒR1 significantly downregulated in glioblastoma samples and had a negative correlation with Hsa-miR-11181-3p expression.

Conclusion
We documented the up-regulation of two neuron related miRNAs, Hsa-miR-11181-5p and Hsa-miR-11181-3p, in high-grade glioblastoma brain tumours. Our data illustrated a significant up-regulation of Hsa-miR-11181-5p in glioblastoma and down-regulation high-grade meningioma (grade IV) brain tumours. Therefore, the differential expressions of Hsa-miR-11181-5p and Hsa-miR-11181-3p were remarkable between high-grade glioblastoma and meningioma tissue samples. We also showed that miRNAs contribute to regulating the AKT and TGFB signalling pathway by targeting the AKT2 and TGFBR1 genes in glioblastoma tissues. We observed down-regulation of AKT2 in high-grade glioblastoma tissues, which confirmed the role of Hsa-miR-11181 in the AKT2 signalling pathway. Our results indicate that the high expression level of Hsa-miR-11181 could be applied as a potential biomarker for glioblastoma cancer detection or brain tumour categorization.